A Trauma-Informed Sleep Intervention for Children in Foster Care
Status unconfirmed · Not applicable
Conditions studied: Sleep Disturbance, Child Development, Mental Disorder, Child
In brief
Sleep disturbances are pervasive and impairing among children who spend time in foster care but not a single prevention or intervention program for this fragile group targets sleep health. Poor sleep undermines effective self-regulation and stable biological rhythms, amplifying the negative impacts of early adversity/trauma on immediate and long-term functioning. Consistent with evidence that optimizing sleep is critical for trauma recovery, the investigators will adapt cognitive-behavioral treatment for pediatric insomnia for children placed in or adopted from foster care to evaluate child outcomes and target mechanism engagement and explore implementation barriers and supports.
Key facts
- Study ID
- NCT05646095
- Run by
- Candice A Alfano
- People needed
- 60
- Starts
- 2023-01-01
- Expected to finish
- 2025-01-31
- Last updated by the study team
- 2023-12-19
Who can join
Age: 6 and older, up to 10. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All non-relative foster, kinship and adoptive foster families with a child between the ages 6 and 10 years who have been in the home for one month.
- A caregiver or child-reported behavioral sleep problem at least twice a week.
You may not qualify if…
- Children who are considered 'medically fragile' or with serious medical issues/conditions requiring routine care, supervision/monitoring and/or regular use of equipment (e.g., paralysis, tracheostomy, blindness, cerebral palsy). We will not exclude children with non-serious medical conditions that are well-managed (e.g., asthma, diabetes, HIV).
- Children with significant developmental delays or intellectual disability who would have difficulty comprehending and/or engaging in treatment. Consistent with practices in community settings, the study team will consider the reliability of child responses during the initial assessment to identify children who meet this criterion (rather than standardized test scores).
- Children with a confirmed or suspected medical sleep disorder requiring medical treatment (e.g., obstructive sleep apnea, narcolepsy). We will immediately refer these children for services as necessary.
- Foster parent and/or child who is a non-fluent English speaker.
- Current foster parent or child suicidality or self-harm behaviors (i.e., suicidal ideation, intent, and/or plan, cutting, burning, etc).
Where it is running
- Sleep and Anxiety Center of Houston — Houston, Texas, United States (enrolling)
Full record on ClinicalTrials.gov
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